行为干预措施在社区高血压防治中的作用

Effect of community intervention on prevention and cure in patients with hypertension

目的:探讨有效预防并控制高血压发生发展和减少并发症的措施。方法:连续三年对社区3621名40～70岁的居民进行高血压的筛查及行为干预管理。共筛查出427名高血压患者,随机被分成两组,行为干预组249人,行为未干预组178人。社区医生对干预组实施有效行为干预。结果:较之非干预组,(1)行为干预组对高血压行为认知(放松心情,运动,低盐,减肥,按医嘱服药)程度显著提高(P<0.05～<0.001);(2)血压控制率显著提高(P<0.01,分别为57.06%、88.75%);(3)心、脑血管并发症,肾脏损害发生率显著下降(P<0.001)。结论:在社区居民中实施行为干预可控制高血压的发生和发展、减少并发症。

Objective：To explore the effect of community intervention on prevention and cure in patients with hypertension.Methods：The 3 621 cases age 40～70 community residents were screened for hypertension in three years.A total of 427 patients with hypertension were screened,and randomly divided into two groups：Behavior intervention group（249 cases）and control group（no-intervention group,178 cases）.Behavior intervention was performed by physician of community in behavior intervention group.Results：Compared with control group,the cognition for hypertension（slacked mood,exercise,low salt,weight reduction and taking drug according doctor order）significantly increased（P〈0.05～〈0.01）,control rate of hypertension significantly increased（P〈0.01）,cardiovascular,cerebrovascular complication and kidney damage significantly decreased（P〈0.001）in behavior intervention group.Conclusion：The behavior intervention can control occurrence,development of hypertension,and decrease its complications in community residents.